Repeated Burkholderia cepacia Peritonitis in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis

Area of Science:

• Nephrology
• Infectious Diseases
• Microbiology

Background:

• Burkholderia cepacia (B cepacia) is an opportunistic pathogen.
• Peritonitis is a serious complication for patients undergoing continuous ambulatory peritoneal dialysis (CAPD).
• B cepacia is a rare cause of CAPD peritonitis.

Purpose of the Study:

• To report the first case of recurrent B cepacia peritonitis in a CAPD patient.
• To highlight the management of B cepacia peritonitis without catheter removal.
• To emphasize the importance of catheter removal in preventing recurrent B cepacia infections.

Main Methods:

• Case report of a CAPD patient with recurrent B cepacia peritonitis.
• Treatment with antimicrobial medication.
• Monitoring of infection recurrence.

Main Results:

• The patient experienced repeated episodes of B cepacia peritonitis.
• Antimicrobial treatment alone did not prevent recurrence.
• The infection occurred in an outpatient setting.

Conclusions:

• Recurrent B cepacia peritonitis is possible in CAPD patients.
• Catheter removal should be considered for each episode of peritonitis.
• Prompt and definitive management is crucial to prevent B cepacia reinfection.